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What a breakthrough e-cigarette study illustrates about addiction
The first large, systematic study of whether e-cigarettes help people to quit smoking was published on 30 January in the New England Journal of Medicine,...
Constant cravings – Is addiction on the rise?
Addiction was once viewed as an unsavoury fringe disease, tethered to substances with killer withdrawal symptoms, such as alcohol and opium. But now the...
Little international agreement over burning issue of vaping
Despite much debate in the United Kingdom and United States there is little agreement over how safe e-cigarettes are, write University of Edinburgh public health Professor Linda...
Nigeria isn’t doing enough to reduce tobacco use. Here’s why
Tobacco remains the biggest public health threat, killing more than seven million people globally every year. The World Health Organization has recognised progress in Nigeria,...
When common sense and sound judgment go up in smoke
Government’s proposed anti-tobacco bill lacks any scientific assessment as an underlying principle of legislation, argues Tim Cohen, senior editor of Business Day. In a...
Troublesome issues in e-cigarette policy in America
The Tobacco Harm Reduction (THR) and e-cigarette policy scene continues to evolve in a direction that will result in substantially more tobacco-related addiction, illness...
Reimagining addiction
Ill-informed opinion, rather than evidence, and an often misguided sense of what is moral shape attitudes to addiction and its treatment. In this fake...
Public Health England: Stopping smoking – What works?
Public Health England recently published Health Matters guidance focusing on the range of smoking quitting routes that are available and the evidence for their...
US FDA warns companies of ‘illegal’ e-cigarettes in crackdown on youth vaping
On 12 October the US Food and Drug Administration said it had sent letters to 21 e-cigarette companies questioning the legality of 41 of...
Workplace and Recovery – How US employers and employees handle addiction
Nearly three-quarters of US employers feel guilty about how they have handled employees’ drug or alcohol addiction-related problems, according to a survey of 737...
Expert opinion divided over health impacts as SA legalises dagga
Following the legalisation of cannabis for personal use in South Africa, the SA Society of Psychiatrists and the SA Medical Association warned of its...
WHO launches new strategy to accelerate global tobacco control
The Conference of the Parties to the WHO Framework Convention for Tobacco Control closed its eighth session – COP8 – on 7 October after adopting...
‘White paper’ call to action on vapour products, harm reduction and taxation
The International Center for Law & Economics in the US has produced a white paper it describes as a call to action for economists and health...
Cigarette market is soaring in Africa – UCT study
Tobacco companies are thriving in Africa due to weak anti-tobacco and tax laws. A study by the University of Cape Town’s Economics of Tobacco Control Project found...
Supporters of South Africa’s Tobacco Bill speak out
Following a cacophony of criticism of South Africa’s Tobacco Bill, supporters the legislation are having their say. An article in Daily Maverick outlines a...
Urgent strategies needed to tackle US opioid crisis – Doctors have a role
There are many ways to tackle America’s growing opioid addiction crisis. In articles in USA Today, a behavioural economist and a chief medical examiner...
Fiery responses to SA’s draconian Tobacco Bill
SA’s Tobacco Bill has met with a barrage of criticism, among other things for proposing jail for smoking in public, outlawing designated smoking areas,...
International experts highlight ‘significant weakness’ in SA Tobacco Bill
In a last-minute submission on the SA Tobacco Bill, international academics argue that the Bill does not sufficiently differentiate between nicotine products of widely...
‘This should change everything’ – A performance standard for cigarettes
Unlike many other consumer products, no safety standards have been set for cigarettes or other tobacco products. Now a performance standard proposal has been...
Advancing tobacco regulation for public health – New FDA initiatives
Over the past year, the US Food and Drug Administration has taken important steps towards achieving its overarching goal – a world where cigarettes...
Negligence killing new-borns; PSC grilled on 'sanitised' report
More than 80,000 newborn babies died within just two years as a result of negligence and the poor quality of healthcare in public hospitals, according the Saving Babies report of the SA Medical Research Council. Meanwhile MPs challenged the Public Service Commission (PSC) on its ’sanitised' findings about the state of public health services, suggesting that patients faced a far bleaker picture than that painted.
Physical activity slashes mortality risk in elderly men
Half an hour of physical activity for six days a week linked to 40% lower risk of death in elderly men and the impact on health is as good as giving up smoking, suggests a large 12-year Norwegian study. Men who regularly engaged in moderate to vigorous physical activity during their leisure time lived five years longer, on average, than those classified as sedentary.
Refusals to treat Compensation Fund patients
Doctors and medical practitioners across South Africa are refusing to treat Compensation Fund patients because of its failure to settle claims, research for the Democratic Alliance (DA) has shown. Government hospitals have also turned patients away.
Pricey cancer drugs gets rushed approvals despite poor trials
Highly priced cancer drugs get rushed approvals from benign regulatory authorities, despite poor trial methodology and little effect on the longevity of patients, cautions a British-American study. Unlike most other diseases, cancer instils a special fear and 'is treated as an evil, invincible predator, not just a disease', the authors note.
Researchers compared 8942 oncology clinical trials conducted between 2007 and 2010 with trials for other diseases. Trials for cancer drugs were 2.8 times more likely not to be randomised, 2.6 times more likely not to use a comparator (single arm), and 1.8 times more likely not to be blinded.
High-protein risk for weight gain and heart disease
High-protein food diets — such as the Atkins Diet — actually increase the risk of putting on weight and even dying for people at high risk of heart disease, suggest Spanish study of 7,447 people.
Although diets high in protein have become increasingly popular, there has been mixed evidence about their efficacy, and fears they could increase the risk of heart disease.
High fibre African diet reduces colon cancer risk
American and African volunteers swopping diets for just two weeks had dramatic effects on risk factors for colon cancer. Western diets, high in protein and fat but low in fibre, are thought to raise colon cancer risk compared with African diets high in fibre and low in fat and protein. The study confirmed that a high fibre diet can substantially reduce risk.
Minister laments lack of interest in prevention campaigns
The South African government's recent introduction of two new childhood vaccines has slashed the number of cases of life-threatening pneumonia and rotavirus, yet these successes have been barely acknowledged, says Minister of Health Aaron Motsoaledi. Business Day reports that delivering his budget speech to Parliament, Motsoaledi lamented that public discourse placed too much attention on events in hospitals and clinics. 'Any one negative event that takes place there is almost immediately regarded as the collapse of the health system,' he said.
Right-to-die judgment under siege
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Robin Stransham-Ford last week and In better days - Pics courtesy of Netwerk24[/caption]Despite a landmark North Gauteng High Court ruling in favour of a man who wanted his doctors to be granted permission to help him die, the 'right-to-die' remains elusive for South Africans who are terminally ill.
Health Minister Aaron Motsoaledi's said giving doctors the right to end a life is 'dangerous' and that the Health Department will now join hands with the Department of Justice and Constitutional Development to appeal the judgment. The South African Medical Association (Sama) has warned that even if the law were to permit medical practitioners to help patients end their lives, the ethical rules of the Health Professions Council of SA (HPCSA) would not allow this and such a doctor would face disciplinary action.
Judge Hans Fabricius suggested Parliament should give ‘serious consideration’ to introducing a draft law legalising euthanasia.
This MedicalBrief report contains also access to the full judgment.
Robin Stransham-Ford last week and In better days - Pics courtesy of Netwerk24[/caption]Despite a landmark North Gauteng High Court ruling in favour of a man who wanted his doctors to be granted permission to help him die, the 'right-to-die' remains elusive for South Africans who are terminally ill.
Health Minister Aaron Motsoaledi's said giving doctors the right to end a life is 'dangerous' and that the Health Department will now join hands with the Department of Justice and Constitutional Development to appeal the judgment. The South African Medical Association (Sama) has warned that even if the law were to permit medical practitioners to help patients end their lives, the ethical rules of the Health Professions Council of SA (HPCSA) would not allow this and such a doctor would face disciplinary action.
Judge Hans Fabricius suggested Parliament should give ‘serious consideration’ to introducing a draft law legalising euthanasia.
This MedicalBrief report contains also access to the full judgment.Heart stopping news for polygamists
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Pic courtesy of Timeslive
President Jabob Zuma with four of his wives[/caption]Polygamy increases the risk of heart disease by more than fourfold, reveals Saudi Arabian research. The risk and severity of heart disease increased with the number of wives. Dr Amin Daoulah, a cardiologist at the King Faisal Specialist Hospital and Research Centre in Jeddah, Saudi Arabia, whose multicentre observational study was presented at the Asian Pacific Society of Cardiology Congress 2015, said ‘This could be because the need to provide and maintain separate households multiplies the financial burden and emotional expense. Each household must be treated fairly and equally, and it seems likely that the stress of doing that for several spouses and possibly several families of children is considerable.’
Pic courtesy of TimeslivePresident Jabob Zuma with four of his wives[/caption]Polygamy increases the risk of heart disease by more than fourfold, reveals Saudi Arabian research. The risk and severity of heart disease increased with the number of wives. Dr Amin Daoulah, a cardiologist at the King Faisal Specialist Hospital and Research Centre in Jeddah, Saudi Arabia, whose multicentre observational study was presented at the Asian Pacific Society of Cardiology Congress 2015, said ‘This could be because the need to provide and maintain separate households multiplies the financial burden and emotional expense. Each household must be treated fairly and equally, and it seems likely that the stress of doing that for several spouses and possibly several families of children is considerable.’
New HCV treatment guidelines
The European Association for the Study of the Liver (EASL) has released its latest hepatitis C treatment guidelines.
HBV vaccination must be expanded
The universal infant hepatitis B virus (HBV) vaccination needs further expansion to significantly reduce HBV transmission and liver disease mortality, according to an Imperial College London analysis.
NASH has 50% higher death rate than NAFLD
A population-based cohort of almost a million people in the UK found that the chances of dying from non-alcoholic steatohepatitis (NASH), over a 14-year period, was approximately 50% higher than for those with non-alcoholic fatty liver disease (NAFLD).
In-patient cirrhosis deaths plummet
The largest US sampling to date found 'dramatic improvements' in the survival of patients with cirrhosis and liver failure.
NAFLD promotes coronary artery calcification
Non-alcoholic fatty liver disease (NAFLD) plays a role in the early stages of coronary atherosclerosis and in its more severe form it can also promote the development of coronary artery calcification (CAC).
HCV increases cancer risk 'significantly'
Cancer rates in patients with the hepatitis C virus (HCV) were significantly increased compared to the non-HCV cohort.
50th International Liver Conference, Vienna, Austria
Some research highlights from the European Association for the Study of the Liver’s 50th International Liver Conference, including a potential cure for hepatitis B virus infections, with a promising new treatment proving 100% successful in pre-clinical models and new hepatitis C virus treatment guidelines.HCV combination therapies show promise
A number of new HCV combination therapies show promise.
Potential cure for HBV
Australian scientists have found a potential cure for hepatitis B virus (HBV) infections, with a promising new treatment proving 100% successful in eliminating the infection in pre-clinical models.
Fat Blocker moves to silence fact checker
Dr Harris Steinman, a medical doctor and consumer activist who runs a South African website exposing misleading claims about health products, has been forced to move his site offshore after sports supplement company USN demanded his internet service provider (ISP) take down his CAMcheck site because it was ‘unlawful’. Steinman has long been a thorn in the flesh of complementary and alternative medicines (CAM) manufacturers because of his success in using the Advertising Standards Authority to remove or change misleading advertising.
IT specialist Kevin Charleston says that this is the latest tactic by CAM manufacturers to silence critics. Some also were using intimidatory and expensive suits (so called SLAPP suits) to intimidate.The world’s men beat a path to Tygerberg’s door
The doctors at Tygerbeg Hospital who carried out the first successful p enis transplant on a patient who had a botched traditional circumcision, have been inundated with requests from men around the world who want to have the operation. Stellenbosch University doctors said the procedure could eventually be extended to men who have lost the organ from p enile cancer.
In other p enile research at King's College London, researchers reviewed studies of p enis measurements for more than 15,000 men, the largest collection yet, to come up with a graph that can be shown to men who wonder, or obsess over, how theirs measure up.